J38.0
Paralysis of vocal cords and larynx
Clinical Classification Guidelines
Inclusion Terms
- Laryngoplegia
- Paralysis of glottis
Medical Intelligence & Overview
Paralysis of the vocal cords and larynx, medically referred to as laryngoplegia, involves the loss of movement in the vocal cords, which can affect voice, breathing, and swallowing. This condition can impact daily life significantly, depending on its severity and cause. Recognizing the symptoms and understanding potential causes can help in seeking appropriate medical evaluation and management.
Causes & Symptoms
Clinical Causes: Nerve damage due to surgical injury, especially during thyroid or neck surgery Stroke or cerebrovascular accident affecting nerves controlling the larynx Tumors pressing on or invading the nerves responsible for vocal cord movement Viral infections impacting laryngeal nerves Trauma or injury to the neck or chest area Neurodegenerative diseases such as multiple sclerosis or Parkinson’s disease Idiopathic causes where no clear reason is identified
Key Symptoms: Hoarseness or a weak, breathy voice Difficulty speaking loudly or clearly Breathing difficulties or shortness of breath Choking or coughing when swallowing food or liquids Loss of voice or complete voice absence Feeling of a lump in the throat Unilateral or bilateral vocal cord paralysis depending on the affected side
Diagnostic & Treatment
Diagnosis Path: Diagnosis typically involves a detailed medical history and physical examination. Special procedures may include:
Treatment Protocols: Management focuses on addressing the underlying cause and improving vocal and swallowing function. Treatment options may include:
Clinical Advice & FAQs
Billing Guidance
Is J38.0 a billable ICD-10 code?
Yes, J38.0 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report J38.0?
Clinical documentation must specify the nature of Paralysis of vocal cords and larynx and any associated comorbidities for accurate reporting.
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